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Thoughts on why doctors often prescribe meds for T2 diabetes
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<blockquote data-quote="donnellysdogs" data-source="post: 914585" data-attributes="member: 17713"><p>Phoenix is correct ref all the targets that GPs have to hit to get payments.</p><p></p><p>The initial QOF payments started in 2004 and are updated each year. <a href="http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework/introducing-qof-2004" target="_blank">http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework/introducing-qof-2004</a></p><p></p><p>This also gives a link to prescription payments. "Contractors" are basically the GPs </p><p><a href="https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013" target="_blank">https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013</a> (again updated most years).</p><p></p><p>And then there is MPIG too. <a href="http://www.england.nhs.uk/wp-content/uploads/2014/02/gp-gms-practices.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2014/02/gp-gms-practices.pdf</a></p><p></p><p>The CCGs though do hold the purse funds for the prescribing of drugs that GPs or hospitals can do. </p><p></p><p>There is not just one simple payment of £xx to a GP Practice. It is incredibly complicated.</p><p></p><p>If you need a hip op. It isn't a case of a consultant just saying yes and giving you a date. He has to write to GP confirming this. The GP then has to request the CCG to pay for that op.... And then confirm to consultant.</p><p></p><p>The red tape and bureaucracy is really incredible....</p><p></p><p>Then it will all depend whether your Practice is on a GMS contract or a PMS one.....</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 914585, member: 17713"] Phoenix is correct ref all the targets that GPs have to hit to get payments. The initial QOF payments started in 2004 and are updated each year. [URL]http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework/introducing-qof-2004[/URL] This also gives a link to prescription payments. "Contractors" are basically the GPs [URL]https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013[/URL] (again updated most years). And then there is MPIG too. [URL]http://www.england.nhs.uk/wp-content/uploads/2014/02/gp-gms-practices.pdf[/URL] The CCGs though do hold the purse funds for the prescribing of drugs that GPs or hospitals can do. There is not just one simple payment of £xx to a GP Practice. It is incredibly complicated. If you need a hip op. It isn't a case of a consultant just saying yes and giving you a date. He has to write to GP confirming this. The GP then has to request the CCG to pay for that op.... And then confirm to consultant. The red tape and bureaucracy is really incredible.... Then it will all depend whether your Practice is on a GMS contract or a PMS one..... [/QUOTE]
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